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1917 Sapphire Pt î ÿþ þýý üû ûú ùýý ìù ð äééùòò ð ä þýö ýüûúùø÷ ñ ÷ ôö ÷ ñ üéü ý ôüòû óòôüòû ýÛ ý å ì ðâó ÿþòð òíà÷ýÞõ æêäêä õù ýü æêãêã ôó öòñ øø òøüòûÿÜéé ùý ú ðâóêþÚãýøø ÿ ôð ÿ ô àâßðâð ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü Use BLUE or BLACK Ink I For Office Use C" Permit City of Eva Permit Fee: ILI 3830 Pilot Knob Road - Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 I L c~ Fax: (651) 675-5694 Staff: i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t -'2, - 529 Site Address: 1 i . " \ - b c3 t `'1 1 `7 5 z F T' -f e X:~-k- Tenant: Suite c;~v RESIDENT i OWNER Name: Phone: S 1- Address / City / Zip: S__1 C_7 i=. t` Applicant is: Owner Contractor TYPE OF WORK Description of work: _ (c2r 1 a 5~:~ Construction Cost: 4c ~ Multi-Family Building: (Yes, /No CONTRACTOR Name: License Z v_5 Qa-2- 5°t 2 Address: City: t - State: Zip: S 5 C'L1L4 Contact Person: Phone: '717-2- t-1 12- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a per it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x n yt! ,c~ h r x Applicant's Printed Name Applicant's ure Page 1 of 3 use bWt or BLACK Ink I For Office Use ] I Permit 1/0 l 3 1 City of Ea are I / I Permit Fee: l~_ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: - - - - 2013 RESIDENTIAL PLUMBING PERMIT APPLI ATION Date:~~ `y^ Site Address: Tenant: + Suite Resident/Owner Name: Phone: Address / City / Zip: < ~jr ~Q f Name: l lry r~ - C License 9/L Contractor Address: 2 7 761 C S? city: State: _A/V Zip: !~=790 Phone: 7& 7-a-w-0 W Contact: Email: % ly XAAA_F, 61(7 Type of Work - New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Permit Type Lawn Irrigation L_ RPZ PVB) - Add Plumbin Fixtures Septic System 9 L- Main / Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi ances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without permit; that the work will be in accordance with the ;a;pr;ov;edplanin the se of work which requires a review and approval of pl s. x 14100 /,/Y x Applicant's P in ed Name Applicant's Signa re FOR OFFICE USE Reviewed By: Date: -Required Inspections: -Under Ground _ -Rough-In __Air Test------_Gas Test_ =Final Use BLUE or BLACK Ink I For Office Use Permit b `(p Win City of Ea ; Permit Fee: ` w7 • 5J - 3830 Pilot Knob Road r Eagan MN 55122 I Date Received:~:~_,)L5_'/3 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: u-f+ 41'~ [13 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '/+y ( Site Address: Unit#: Name:t Phone: Resident) , I / /Zip: tit w 1%! Owner Address City Applicant is: Owner Vv Contractor Description of work:=1 Type of Work f Construction Cost: t J Multi-Family Building: (Yes / No r Company: Contact: /rt:, •~t.+. Address: 1j V`i City: ri,t s t` t? 'At.t Contractor State: Zi Phone: f > < ; "t t fi~ 4 P: - License 1,j c_G~ Lead Certificate /V/ . t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) . I ai & COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude, that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. " / ff Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of- Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition 'k ' -,v SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review" MCES SAC City SAC / Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Sep 30 13 08:56a LS West, Il.c 9522368445 p.9 Use BLUE or BLACK Ink 4b~ 1 For Office Use I Ci O Eapi 1 Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 35122 Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 f Staff. I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I©IDV .3 Site Address: "113, q)J 1 ►1pL i~1 Unit Name: ` TT Il 041,;4 h l I ~Qvt Phone: Resident) . Owner Address / City I zip: Applicant is: Owner Contractor Type of Work Description ofwor_- 1 !°Ar- 6 4 4&impa 5~~~~~ S. ~Z Construction Cost: Multi-Family Building: (Yes I No Company: + lie, Contact 1- h l 1~ t Contractor Address S1 q ftAter y kewye-, qty: td I O Stater Zip: J 6 LfL4 Phone: V) d ` '7 q License 861 3 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _.Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting docAiments that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons .that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wodc is not to start without a permit; that the work will be in accordance with the approved plan in the caseof work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ,j ~ ,~i x ~ k e d- x ~ ~`'v~ Applicanfs Printed Name Applica s Signature Page 1 of 3 . Use BLUE or BLACK Ink - r----------------� • I For Office Use �� . � � 3� �'� � � Permit#: � n I I �� O ��ll r q..;�. .° .fk�'.�µpv� � Perrnit Fee: �� n1. � 3830 Pilot Knob Road ��-�, ��, A � � Eagan MN 55122 P� y �' � Date Received: � ''�~�J I Phone:(651)675-5675 �� tl� I I Fax: (651)675-5694 � .�� r� � Staff: � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � Date: � �- /J Site Address: �gr� � �� T Unit#: d ,� � � �.� ��`� ` Name:-�A n/.�t/r _��.�/� Phone: 5�c5".2— �c5�'-- �/Y�/ ��+F:�� : . �� z � �� Address/City/Zip: "� ;S , /z� � ., z ;, ,� .., � " Applicant is: Owner Contractor � � � � '�� ` Description of work:s'�'!-�,,� �,� �/�LL�•-2 c=cL S v��7 l'�u.-c,�C�--1�,'-' S'��t''f.,rc.ls. ��.��t .' _ , '��,�' �� Construction Cost: �5'�a•E,u Multi-Famil Buildin es /No �. ��. Y 9� (Y � � � � / � � �� Company: �!�`r /5�--c tLa��",_./�,� c. Contact:� e�� t S' � , v � " Address:��' ��2 t.�,NN � % City: �r� �''r�'��" � , T State:�Zip: ..5g/,�- Phone: �v��b'•l/�.�Email:��'j c!> G/�ts �t�a�..��'�! > e G.c7.'dr License#:��?!`��> Lead Certificate#: If the project is exempt from lead certification, please explain why: ,�:Gv � �GIJr�.J .v K S�� L2.,. i �. T'��- /l L' � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No tf yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: : �4fi� ��Y��i s�'�er��'��t��r s��6��r'�e��?b�t�'ed��a�� ar�" : `��``�rr�f��ar��r��-}��c��:j�r�+��z ��`�� :; � x � � � � ,� � , ,_c. �� s : ,R� ��, . .. . �, �� , . � _.,_ � � ��c�. _�� , �.�,. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. _)_--' j X� / t9 d�� d�r s' X ��'-/ ��L- Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ' �' �� k�r t'._ SUB TYPES �� Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) �Single Family _ Garage _ Porch(4-Season) _ Exterior Aiteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscelianeous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES (�� C �� `. d'� �! `�°�� :�.��. _ New _ interior Improvement� _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior x Alteration _ Fire Repair _ Windows _ Demolish Foundation 7_ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �� Occupancy �`��, MCES System Plan Review Code Edition � ,� - 1 SAC Units (25%_100%�) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Finai/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC�Gas Service Test�Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �C Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walts Fire Suppression: Rough In_Final Braced Walls Erosion Control Other: Reviewed By: � � , Building Inspector RESIDENTIAL FEES Base Fee ��f " ��j,,�^"� Surcharge Plan Review � •>,�� ,,t�`�-�` MCES SAC City SAC Utility Connection Charge � <.,/ � � { �� ,,..-� � � �,� �'`�� SS�W Permit 8�Surcharge � f �� 3 Treatment Plant Copies TOTAL Page 2 of 3